Estudo descritivo sobre a implantação da estratégia de tratamento de curta duração diretamente observado no controle da tuberculose em São José do Rio Preto e seus impactos (1998-2003)

Abstract

, was conducted using a specific instrument. The data were analyzed using descriptive statistics. Results: After the implementation of the DOTS strategy, there was a decrease in noncompliance and case detection rates as well as an increase in cure and death rates. The increase in the number of tuberculosis-related deaths might be attributable to three factors: the predominance of the disease in individuals over 50 years of age, tuberculosis/HIV co-infection, and the presence of accompanying diseases. Conclusion: The implementation of the DOTS strategy strengthened the decentralization of the tuberculosis control plans as well as the integration of the Basic Health Care Clinic teams with the Tuberculosis Control Program team. Political commitment of the administrator to tuberculosis control, in conjunction with the policy of benefits and incentives, is essential for the sustainability of the DOTS strategy.Keywords: Tuberculosis; Epidemiology; Health services; Politics; Directly observed therapy. Descriptive study of the implementation and impact of the directly observed treatment, short-course strategy in the São José do Rio Preto municipal tuberculosis control program (1998)(1999)(2000)(2001)(2002)(2003)

Assessment of the effectiveness of a home-based care program for patients coinfected with tuberculosis and human immunodeficiency virus after discharge from a reference hospital in South-Eastern Brazil

“…22 The TB cure rate achieved by this study were higher than the rates obtained by other national surveys with patients coinfected with HIV who achieved TB cure rates below 58.8%. [23][24][25] However, the success rates recorded for both groups of patients in the present study were lower than those observed in previous studies [26][27][28][29][30][31][32] of populations, containing varying percentages of HIV-infected patients, that had been treated under a directly observed therapy (DOT) Home-based care program for patients coinfected with tuberculosis and human immunodefi ciency virus program. Furthermore, the number of patients who attained a cure under either treatment program in the present survey did not reach the 85% standard set by the World Health Organization.…”

DOTS in primary care units in the city of Rio de Janeiro, Southeastern Brazil

“…In addition to the lack of incentives and enablers, diffi cult treatment access, poor communication between health providers and patients, poor application of directly observed therapy, lack of an active search strategy for missing patients, and limitations of supervision in treatment units are all barriers to treatment success in patients under DOTS. 23 Higher rates of deaths among patients under DOTS were also reported in the city of São José do Rio Preto, 11 and it probably refl ects the selection of patients with less favorable social and clinical conditions, not properly adjusted for in the model due to the lack of variables in the database. Additionally, the occurrence of deaths also varies depending on prior clinical history of patient, a fi nding that was also reported in a hyperendemic TB area in the state of São Paulo.…”

Factors associated with the rapid implementation process of the fixed-dose combination RHZE tuberculosis regimen in brazil: an ecological study

“…In the following years, as in other countries that recommended DOTS, a decrease in default rates and an increment in case detection and cure rates were observed in Brazil. Nevertheless, this was insufficient to achieve the target for tuberculosis control in the country [2,3]. …”